CARLY M MACHACEK DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027241

License Status

ACTIVE

Business

Title

DPT

First Name

CARLY

Middle

Last Name

MACHACEK

Business Name

CARLY M MACHACEK DPT

Original Issue Date

02/10/2023

Effective Date

08/01/2024

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61614

Ever Disciplined

LastModifiedDate

08/01/2024